0001179110-16-020783.txt : 20160303
0001179110-16-020783.hdr.sgml : 20160303
20160303103809
ACCESSION NUMBER: 0001179110-16-020783
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160303
FILED AS OF DATE: 20160303
DATE AS OF CHANGE: 20160303
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: KEURIG GREEN MOUNTAIN, INC.
CENTRAL INDEX KEY: 0000909954
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FOOD PREPARATIONS & KINDRED PRODUCTS [2090]
IRS NUMBER: 030339228
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0926
BUSINESS ADDRESS:
STREET 1: 33 COFFEE LANE
CITY: WATERBURY
STATE: VT
ZIP: 05676
BUSINESS PHONE: 8022445621
MAIL ADDRESS:
STREET 1: 33 COFFEE LANE
CITY: WATERBURY
STATE: VT
ZIP: 05676
FORMER COMPANY:
FORMER CONFORMED NAME: GREEN MOUNTAIN COFFEE ROASTERS INC
DATE OF NAME CHANGE: 20030221
FORMER COMPANY:
FORMER CONFORMED NAME: GREEN MOUNTAIN COFFEE INC
DATE OF NAME CHANGE: 19930729
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gibbs Stephen L
CENTRAL INDEX KEY: 0001358692
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-12340
FILM NUMBER: 161479894
MAIL ADDRESS:
STREET 1: C/O SCIENTIFIC GAMES CORPORATION
STREET 2: 1500 BLUEGRASS LAKES PARKWAY
CITY: ALPHARETTA,
STATE: GA
ZIP: 30004
4
1
edgar.xml
FORM 4 -
X0306
4
2016-03-03
1
0000909954
KEURIG GREEN MOUNTAIN, INC.
GMCR
0001358692
Gibbs Stephen L
33 COFFEE LANE
WATERBURY
VT
05676
0
1
0
0
VP, Chief Accounting Officer
Common Stock
2016-03-03
4
D
0
2627
92.00
D
0
D
Stock Option (Right to Buy)
51.56
2016-03-03
4
D
0
2296
D
2023-03-07
Common Stock
2296
0
D
Stock Option (Right to Buy)
52.98
2016-03-03
4
D
0
5020
D
2025-12-01
Common Stock
5020
0
D
Stock Option (Right to Buy)
54.12
2016-03-03
4
D
0
4269
D
2022-03-22
Common Stock
4269
0
D
Stock Option (Right to Buy)
71.30
2016-03-03
4
D
0
3567
D
2023-12-06
Common Stock
3567
0
D
Stock Option (Right to Buy)
85.42
2016-03-03
4
D
0
3930
D
2021-08-22
Common Stock
3930
0
D
Restricted Stock Units
2016-03-03
4
D
0
213
D
Common Stock
213
0
D
Restricted Stock Units
2016-03-03
4
D
0
788
D
Common Stock
788
0
D
Restricted Stock Units
2016-03-03
4
D
0
595
D
Common Stock
595
0
D
Restricted Stock Units
2016-03-03
4
D
0
424
D
Common Stock
424
0
D
Restricted Stock Units
2016-03-03
4
D
0
1673
D
Common Stock
1673
0
D
Performance Stock Units
2016-03-03
4
D
0
637
D
Common Stock
637
0
D
Performance Stock Units
2016-03-03
4
D
0
997
D
Common Stock
997
0
D
Disposed of pursuant to the Agreement and Plan of Merger, dated as of December 6, 2015, by and among the Issuer, Acorn Holdings B.V., Maple Holdings Acquisition Corp. and, solely for purposes of Article IX therein, JAB Holdings B.V.(the "Merger Agreement").
Disposed of pursuant to the Merger Agreement in exchange for $92.00 for each share of the Issuer's common stock held by Reporting Person.
Pursuant to the Merger Agreement, this option was cancelled as of March 3, 2016 in exchange for a cash payment equal to the product of (i) the number of shares of the Issuer's common stock subject to the option multiplied by (ii) the excess of $92.00 over the per share exercise price of the option.
Pursuant to the Merger Agreement, as of the effective date of the Merger, each restricted stock unit, whether vested or unvested, was canceled and converted into the right to receive an amount of cash, equal to the product of (i) the number of shares of the Issuer's common stock issuable upon conversion of such restricted stock unit multiplied by (ii) $92.00 per share.
Represents previously unearned performance stock units. Pursuant to the Merger Agreement, as of the effective date of the Merger, each performance stock unit was canceled and converted into the right to receive an amount of cash, equal to the product of (i) the number of shares of the Issuer's common stock issuable upon conversion of such performance stock unit paid out at 100% of target multiplied by (ii) $92.00 per share.
/s/ Jessica H. Collins, pursuant to Power of Attorney
2016-03-03